Re: update on superfetation vs severe IUGR
From: art fougner, md (evsono@pipeline.com)
Wed Mar 7 06:50:09 2001
Where's the evidence? LOL
art
At Wed, 7 Mar 2001, Efrain Ramirez wrote:
>
>Medicine is having knowledge and common sense on how to use it.
>
>At Tue, 6 Mar 2001, M. Kelly Shanahan, MD, wrote:
>>
>>Well, my 41 yo G1 29 wweks by my US chronic hypertensive developed
>>superimposed preeclampsia, so I shipped her to the MFM and the tertiary
>>care center. The MFM, who kept saying she didn't have IUGR because his
>>scan showed symmetric measurements, a grade I placenta and normal fluid
>>and she was just due 4 weeks later than I said, just called to tell me
>>he delivered the baby -- 29 weeks with severe IUGR (birthweight was
>>around 600 gms) and an infarcted grade III placenta.
>>
>>He still says it is a wierd case because the baby seemed to be growing
>>appropriately for the last few weeks, after an apparant period of almost
>>no growth in the early - mid second trimester.
>>
>>Don't know how the baby will do ultimately (they have had a hard time
>>getting lines in because hte kid is so tiny) and I still don't know if
>>they are going to do chromosomes on hte baby -- all the MFM said when I
>>asked if the baby looked normal, was that it was hte tiniest runt he'd
>>seen.
>>
>>Although I would have preferred a perfectly normal outcome for this
>>patient, I sure feel vindicated as I argued with the MFM all along that
>>this was severe IUGR.
>>
>>Kelly
>
>--
>"Life is neither the notes nor the silence between the notes, but the music that
> arises out of sound and silence felt as a living whole. Stop choosing...between
> chaos and order, and live at the boundary between them, where rest and action
> move together..." David Whyte
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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